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Individual

DR. MYTHILI C BHARADWAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 WHITE ROAD, CHESTERFIELD, MO 63017-2399
(314) 469-1200
Mailing address
550 WHITE ROAD, CHESTERFIELD, MO 63017-2399
(314) 469-1200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
113133
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
113133
MO
208M00000X
Hospitalist Physician
113133
MO

Other

Enumeration date
11/22/2006
Last updated
05/31/2013
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